Organization Active NPI

Madigan Army Medical Center

  • Operational (Transportable) Military General Acute Care Hospital
  • Tacoma, WA
National Provider Identifier
1003350687
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Operational (Transportable) Military General Acute Care HospitalTaxonomy code 2865X1600X
Legal business name
MADIGAN ARMY MEDICAL CENTER
Practice address
9040A Jackson Ave
Tacoma, WA 98431-0001
Phone
(253) 968-1684
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Telesia Muliagatele-Plummer
Title
Medical Services Account Officer
Phone
(253) 968-1684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Operational (Transportable) Military General Acute Care Hospital 2865X1600X Primary

Addresses

Primary practice location

9040A Jackson Ave
Tacoma, WA 98431-0001

Mailing address

9040A Jackson Ave
Tacoma, WA 98431-0001
Phone (253) 968-1684

Other identifiers 1

IdentifierTypeStateIssuer
1841390077OtherMILITARY HOSPITAL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1003350687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040A JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040A JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADIGAN ARMY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "MULIAGATELE-PLUMMER",
        "authorized_official_first_name": "TELESIA",
        "authorized_official_title_or_position": "MEDICAL SERVICES ACCOUNT OFFICER",
        "authorized_official_telephone_number": "253-968-1684"
    },
    "taxonomies": [
        {
            "code": "2865X1600X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital. Operational (Transportable)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MILITARY HOSPITAL",
            "identifier": "1841390077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.